Active NPI
Jezwah E Harris, FNP-BC, MEP-C, NE-BC
- Nurse Practitioner
- Aventura, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11035589
- Practice address
- 16215 Biscayne Blvd Ste 131
Aventura, FL 33160-4300 - Phone
- (786) 744-5152
- Fax
- (833) 973-5949
- NPI assigned
- Jul 30, 2022
- Last updated
- Sep 3, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 355285 | NY | |
| Nurse Practitioner | 363L00000X | 314884 | AZ | |
| Nurse Practitioner | 363L00000X | 95031847 | CA | |
| Nurse Practitioner | 363L00000X | APRN11035589 | FL | Primary |
| Dermatology Physician | 207N00000X | 11035589 | FL | |
| Internal Medicine Physician | 207R00000X | 11035589 | FL | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 11035589 | FL |
Addresses
Primary practice location
16215 Biscayne Blvd Ste 131
Aventura, FL 33160-4300
Mailing address
12555 Biscayne Blvd
PMB 1037
North Miami, FL 33181
Phone (323) 229-2070
Other practice location 1
1831 E 71st St
Tulsa, OK 74136-3928
Phone (786) 744-5152
Other practice location 2
101 S Reid St Ste 307
Sioux Falls, SD 57103-7045
Phone (786) 744-5152
Other practice location 3
3523 45th St S Ste 1600
Fargo, ND 58104-8962
Phone (786) 744-5152
Other practice location 4
10 Dorrance St Ste 700
Providence, RI 02903-2014
Phone (786) 744-5152
Other practice location 5
100 E Campus View Blvd Ste 250
Columbus, OH 43235-4682
Phone (786) 744-5152
Other practice location 6
72650 Fred Waring Dr Ste 106
Palm Desert, CA 92260-5007
Phone (424) 433-3351
Other practice location 7
200 Continental Dr Ste 1600
Newark, DE 19713-4334
Phone (302) 366-4886
Other practice location 8
768 Putney Rd Ste U1-1054
Brattleboro, VT 05301-9005
Phone (802) 275-0888
Other practice location 9
1706 N 1200 W Ste 1008
Layton, UT 84041-5716
Phone (385) 342-4202
Other practice location 10
1846 1st St Ste 1029
Idaho Falls, ID 83401-4415
Phone (208) 886-6586
Other practice location 11
312 W 2nd St Ste 3592
Casper, WY 82601-2412
Phone (520) 244-1442
Other practice location 12
2300 W Sahara Ave Ste 202
Las Vegas, NV 89102-4352
Phone (725) 302-0103
Other practice location 13
1240 Winnowing Way Unit 102
MT Pleasant, SC 29466-7531
Phone (786) 744-5152
Other practice location 14
23440 Civic Center Way Ste 100
Malibu, CA 90265-4855
Phone (424) 433-3351
Other practice location 15
1455 NW Leary Way Ste 400
Seattle, WA 98107-5138
Phone (425) 740-7626
Other practice location 16
17 G W Tatro Dr
Jeffersonville, VT 05464-9919
Phone (802) 275-0888
Other practice location 17
1600 Broadway Ste 1600
Denver, CO 80202-4916
Phone (720) 780-7977
Other practice location 18
317 6th Ave Ste 400
Des Moines, IA 50309-4108
Phone (515) 501-5355
Other practice location 19
333 N Alabama St Ste 350
Indianapolis, IN 46204-2275
Phone (786) 744-5152
Other practice location 20
175 Capital Blvd Fl 4
Rocky Hill, CT 06067-3914
Phone (786) 744-5152
Other practice location 21
3372 Peachtree Rd NE Ste 115
Atlanta, GA 30326-1963
Phone (786) 744-5152
Other practice location 22
3597 E Monarch Sky Ln Ste 240
Meridian, ID 83646-1055
Phone (208) 886-6586
Other practice location 23
100 Chesterfield Business Pkwy Fl 2
Chesterfield, MO 63005-1271
Phone (786) 744-5152
Other practice location 24
6000 Poplar Ave Ste 250
Memphis, TN 38119-3974
Phone (786) 744-5152
Other practice location 25
1627 Quarrier St
Charleston, WV 25311-2124
Phone (786) 744-5152
Other practice location 26
180 N University Ave Ste 270
Provo, UT 84601-5648
Phone (385) 342-4202
Other practice location 27
11815 Fountain Way Ste 300
Newport News, VA 23606-4448
Phone (786) 744-5152
Other practice location 28
17 G W Tatro Dr
Jeffersonville, VT 05464-9919
Phone (802) 275-0888
Other practice location 29
342 N Water St Ste 600
Milwaukee, WI 53202-5715
Phone (786) 744-5152
Other practice location 30
801 W Douglas Ave Fl 2
Wichita, KS 67213-4704
Phone (785) 727-7927
Other practice location 31
35 Village Rd Ste 100
Middleton, MA 01949-1238
Phone (339) 933-7553
Other practice location 32
11295 Biscayne Blvd Unit Ph7
Miami, FL 33181-3481
Phone (786) 744-5152
Other practice location 33
5401 Norris Canyon Rd Ste 312
San Ramon, CA 94583-5408
Phone (424) 433-3351
Other practice location 34
3707 E Southern Ave Fl 1
Mesa, AZ 85206-2569
Phone (520) 244-1442
Other practice location 35
4500 Mercantile Plaza Dr Ste 300
Fort Worth, TX 76137-4206
Phone (361) 792-3301
Other practice location 36
5 W Mendenhall St Ste 202
Bozeman, MT 59715-3566
Phone (786) 744-5152
Other practice location 37
1299 Farnam St Ste 300
Omaha, NE 68102-1857
Phone (786) 744-5152
Other practice location 38
170 Commerce Way Ste 200
Portsmouth, NH 03801-3272
Phone (786) 744-5152
Other practice location 39
101 Hudson St Fl 21
Jersey City, NJ 07302-3929
Phone (786) 744-5152
Other practice location 40
500 Marquette Ave NW Ste 1200
Albuquerque, NM 87102-5312
Phone (505) 630-2005
Other practice location 41
525 N Tryon St Ste 1600
Charlotte, NC 28202-0213
Phone (786) 744-5152
Other practice location 42
1312 17th St Ste 865
Denver, CO 80202-1508
Phone (720) 780-7977
Other practice location 43
1106 W Ash St Ste 1011
Junction City, KS 66441-3600
Phone (785) 727-7927
Other practice location 44
2215 N 23rd St Ste 1028
McAllen, TX 78501-6128
Phone (361) 792-3301
Other practice location 45
1 Chestnut Hill Plz Ste 130
Newark, DE 19713-2761
Phone (302) 366-4886
Other practice location 46
6417 Penn Ave S Ste 7-397
Minneapolis, MN 55423-1186
Phone (952) 900-8661
Other practice location 47
731 SE Alices Rd Ste 2031
Waukee, IA 50263-9646
Phone (731) 203-1502
Other practice location 48
1 Westbrook Corporate Ctr Ste 300
Westchester, IL 60154-5709
Phone (872) 282-9262
Other practice location 49
801 E Douglas Ave Fl 2
Wichita, KS 67202-3548
Phone (785) 727-7927
Other practice location 50
312 S 4th St Ste 700
Louisville, KY 40202-3046
Phone (786) 744-5152
Other practice location 51
650 Poydras St Ste 1400
New Orleans, LA 70130-6116
Phone (786) 744-5152
Other practice location 52
128 State St
Augusta, ME 04330-5630
Phone (786) 744-5152
Other practice location 53
16701 Melford Blvd Ste 400
Bowie, MD 20715-4411
Phone (786) 744-5152
Other practice location 54
30 N Gould St Ste 37558
Sheridan, WY 82801-6317
Phone (307) 316-1115
Other practice location 55
2100 Southbridge Pkwy Ste 650
Birmingham, AL 35209-1317
Phone (786) 744-5152
Other practice location 56
9360 Glacier Hwy Ste 202
Juneau, AK 99801-7012
Phone (786) 744-5152
Other practice location 57
400 W Capitol Ave
Little Rock, AR 72201-3436
Phone (786) 744-5152
Other practice location 58
1000 Highland Colony Pkwy Ste 5203
Ridgeland, MS 39157-2079
Phone (786) 744-5152
Other practice location 59
2196 3rd Ave Ste 2029
New York, NY 10035-0780
Phone (332) 895-3777
Other practice location 60
248 Providence Hwy Ste 3042
Westwood, MA 02090-1908
Phone (339) 933-7553
Other practice location 61
1440 W Taylor St Ste 775
Chicago, IL 60607-4623
Phone (872) 282-9262
Other practice location 62
300 Lenora St Ste 6464
Seattle, WA 98121-2411
Phone (425) 740-7626
Other practice location 63
512 W Goldfield Ave Ste 1046
Yerington, NV 89447-3317
Phone (725) 302-0103
Other practice location 64
6700 E Speedway Blvd Ste 1014
Tucson, AZ 85710-1220
Phone (520) 244-1442
Other practice location 65
121 S La Brea Ave Suite 1027
Inglewood, CA 90301
Phone (424) 433-3351
Other practice location 66
18 Campus Blvd Ste 100
Newtown Square, PA 19073-3240
Phone (786) 744-5152
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000260404 | Medicaid | CO | |
| ZJTEQ | Other | FL | BCBS FLORIDA BLUE |
| 100598895 | Medicaid | CA | |
| 127551600 | Medicaid | ID | |
| 219931 | Medicaid | AZ | |
| 6725466 | Medicaid | VT | |
| 30005379330001 | Medicaid | KS | |
| 08375519 | Medicaid | NY | |
| 125974100 | Medicaid | FL | |
| 246725900 | Medicaid | WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, WY, NY, CA, AZ, WA, CO, IL, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 9
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
16215 Biscayne Blvd
Suite 131
Aventura, FL 33160-4300
Phone (786) 744-5152
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 314884 | AZ | MD | Nurse Practitioner |
| 95031847 | CA | MD | Nurse Practitioner |
| APRN11035589 | FL | MD | Nurse Practitioner |
| 355285 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Openloop Healthcare Partners PC | Multi-Specialty | Current | Accepting new patients |
| Welltrackone Corporation | Multi-Specialty | Current | Accepting new patients |
| Je Harris Nursing | Multi-Specialty | Current | Accepting new patients |
Locations (25 of 42)
9360 Glacier Hwy
Ste 202
Juneau, AK 99801
Phone (703) 722-6955
2100 Southbridge Pkwy
Ste 650
Homewood, AL 35209
Phone (205) 533-8902
3707 E Southern Ave
Fl 1
Mesa, AZ 85206
Phone (843) 341-9355
23440 Civic Center Way
Ste 100
Malibu, CA 90265
Phone (323) 229-2070
72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990
1600 Broadway
Ste 1600
Denver, CO 80202
Phone (970) 592-8970
175 Capital Blvd
Fl 4
Rocky Hill, CT 06067
Phone (860) 380-0452
16215 Biscayne Blvd
Ste 131
Aventura, FL 33160
Phone (415) 373-7118
601 N Congress Ave
Ste 409
Delray Beach, FL 33445
12555 Biscayne Blvd
North Miami, FL 33181
Phone (305) 379-4442
8270 Woodland Center Blvd
Tampa, FL 33614
Phone (305) 449-9219
3372 Peachtree Rd NE
Ste 115
Atlanta, GA 30326
Phone (229) 514-9229
317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097
3597 E Monarch Sky Ln
Ste 240
Meridian, ID 83646
Phone (208) 996-3519
1 Westbrook Corporate Ctr
Ste 300
Westchester, IL 60154
Phone (630) 709-1501
333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002
801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
650 Poydras St
Ste 1400
New Orleans, LA 70130
Phone (855) 235-2872
35 Village Rd
Ste 100
Middleton, MA 01949
Phone (978) 222-3131
16701 Melford Blvd
Ste 400
Bowie, MD 20715
Phone (202) 836-7776
100 Chesterfield Business Pkwy
Fl 2
Chesterfield, MO 63005
Phone (314) 355-8585
1000 Highland Colony Pkwy
Ste 5203
Ridgeland, MS 39157
Phone (601) 427-4734
5 W Mendenhall St
Ste 202
Bozeman, MT 59715
Phone (406) 219-7233
525 N Tryon St
Ste 1600
Charlotte, NC 28202
Phone (855) 478-8208
Interoperability endpoints
- jezwahharris@nomibeachhealth.drchronodirect.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Bohemia, NY
- NPI 1871965855
-
- General Practice Physician
- San Francisco, CA
- NPI 1124685169
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
CO, FL, IL, WA
-
- General Practice Physician
- Des Moines, IA
- NPI 1245820661
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1609502657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12555 BISCAYNE BLVD",
"address_2": "PMB 1037",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "33181",
"telephone_number": "323-229-2070",
"fax_number": "786-685-2567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16215 BISCAYNE BLVD STE 131",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331604300",
"telephone_number": "786-744-5152",
"fax_number": "833-973-5949"
}
],
"practiceLocations": [
{
"address_1": "1831 E 71st St",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741363928",
"country_code": "US",
"telephone_number": "786-744-5152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 S Reid St Ste 307",
"address_purpose": "LOCATION",
"city": "Sioux Falls",
"state": "SD",
"postal_code": "571037045",
"country_code": "US",
"telephone_number": "786-744-5152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3523 45th St S Ste 1600",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581048962",
"country_code": "US",
"telephone_number": "786-744-5152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Dorrance St Ste 700",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029032014",
"country_code": "US",
"telephone_number": "786-744-5152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 E Campus View Blvd Ste 250",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432354682",
"country_code": "US",
"telephone_number": "786-744-5152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "72650 Fred Waring Dr Ste 106",
"address_purpose": "LOCATION",
"city": "Palm Desert",
"state": "CA",
"postal_code": "922605007",
"country_code": "US",
"telephone_number": "424-433-3351",
"fax_number": "844-689-4490",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Continental Dr Ste 1600",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "DE",
"postal_code": "197134334",
"country_code": "US",
"telephone_number": "302-366-4886",
"fax_number": "844-689-4492",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "768 Putney Rd Ste U1-1054",
"address_purpose": "LOCATION",
"city": "Brattleboro",
"state": "VT",
"postal_code": "053019005",
"country_code": "US",
"telephone_number": "802-275-0888",
"fax_number": "844-689-4504",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1706 N 1200 W Ste 1008",
"address_purpose": "LOCATION",
"city": "Layton",
"state": "UT",
"postal_code": "840415716",
"country_code": "US",
"telephone_number": "385-342-4202",
"fax_number": "844-689-4503",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1846 1st St Ste 1029",
"address_purpose": "LOCATION",
"city": "Idaho Falls",
"state": "ID",
"postal_code": "834014415",
"country_code": "US",
"telephone_number": "208-886-6586",
"fax_number": "844-689-4494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "312 W 2nd St Ste 3592",
"address_purpose": "LOCATION",
"city": "Casper",
"state": "WY",
"postal_code": "826012412",
"country_code": "US",
"telephone_number": "520-244-1442",
"fax_number": "844-689-4489",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2300 W Sahara Ave Ste 202",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891024352",
"country_code": "US",
"telephone_number": "725-302-0103",
"fax_number": "844-689-4488",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1240 Winnowing Way Unit 102",
"address_purpose": "LOCATION",
"city": "MT Pleasant",
"state": "SC",
"postal_code": "294667531",
"country_code": "US",
"telephone_number": "786-744-5152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "23440 Civic Center Way Ste 100",
"address_purpose": "LOCATION",
"city": "Malibu",
"state": "CA",
"postal_code": "902654855",
"country_code": "US",
"telephone_number": "424-433-3351",
"fax_number": "844-689-4490",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1455 NW Leary Way Ste 400",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981075138",
"country_code": "US",
"telephone_number": "425-740-7626",
"fax_number": "844-689-4505",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17 G W Tatro Dr",
"address_purpose": "LOCATION",
"city": "Jeffersonville",
"state": "VT",
"postal_code": "054649919",
"country_code": "US",
"telephone_number": "802-275-0888",
"fax_number": "844-689-4504",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 Broadway Ste 1600",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802024916",
"country_code": "US",
"telephone_number": "720-780-7977",
"fax_number": "844-689-4491",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "317 6th Ave Ste 400",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503094108",
"country_code": "US",
"telephone_number": "515-501-5355",
"fax_number": "833-973-5949",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "333 N Alabama St Ste 350",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462042275",
"country_code": "US",
"telephone_number": "786-744-5152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "175 Capital Blvd Fl 4",
"address_purpose": "LOCATION",
"city": "Rocky Hill",
"state": "CT",
"postal_code": "060673914",
"country_code": "US",
"telephone_number": "786-744-5152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3372 Peachtree Rd NE Ste 115",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303261963",
"country_code": "US",
"telephone_number": "786-744-5152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3597 E Monarch Sky Ln Ste 240",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836461055",
"country_code": "US",
"telephone_number": "208-886-6586",
"fax_number": "844-689-4494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Chesterfield Business Pkwy Fl 2",
"address_purpose": "LOCATION",
"city": "Chesterfield",
"state": "MO",
"postal_code": "630051271",
"country_code": "US",
"telephone_number": "786-744-5152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6000 Poplar Ave Ste 250",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381193974",
"country_code": "US",
"telephone_number": "786-744-5152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1627 Quarrier St",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253112124",
"country_code": "US",
"telephone_number": "786-744-5152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "180 N University Ave Ste 270",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "846015648",
"country_code": "US",
"telephone_number": "385-342-4202",
"fax_number": "844-689-4503",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11815 Fountain Way Ste 300",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "236064448",
"country_code": "US",
"telephone_number": "786-744-5152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17 G W Tatro Dr",
"address_purpose": "LOCATION",
"city": "Jeffersonville",
"state": "VT",
"postal_code": "054649919",
"country_code": "US",
"telephone_number": "802-275-0888",
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{
"address_1": "342 N Water St Ste 600",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532025715",
"country_code": "US",
"telephone_number": "786-744-5152",
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{
"address_1": "801 W Douglas Ave Fl 2",
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"city": "Wichita",
"state": "KS",
"postal_code": "672134704",
"country_code": "US",
"telephone_number": "785-727-7927",
"fax_number": "844-689-4496",
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{
"address_1": "35 Village Rd Ste 100",
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"city": "Middleton",
"state": "MA",
"postal_code": "019491238",
"country_code": "US",
"telephone_number": "339-933-7553",
"fax_number": "844-689-4498",
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{
"address_1": "11295 Biscayne Blvd Unit Ph7",
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"city": "Miami",
"state": "FL",
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"fax_number": "786-685-2567",
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{
"address_1": "5401 Norris Canyon Rd Ste 312",
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"city": "San Ramon",
"state": "CA",
"postal_code": "945835408",
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"fax_number": "844-689-4490",
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{
"address_1": "3707 E Southern Ave Fl 1",
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"state": "AZ",
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{
"address_1": "4500 Mercantile Plaza Dr Ste 300",
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"city": "Fort Worth",
"state": "TX",
"postal_code": "761374206",
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{
"address_1": "5 W Mendenhall St Ste 202",
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"city": "Bozeman",
"state": "MT",
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{
"address_1": "1299 Farnam St Ste 300",
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"city": "Omaha",
"state": "NE",
"postal_code": "681021857",
"country_code": "US",
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{
"address_1": "170 Commerce Way Ste 200",
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"city": "Portsmouth",
"state": "NH",
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{
"address_1": "101 Hudson St Fl 21",
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"city": "Jersey City",
"state": "NJ",
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"country_code": "US",
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{
"address_1": "500 Marquette Ave NW Ste 1200",
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"city": "Albuquerque",
"state": "NM",
"postal_code": "871025312",
"country_code": "US",
"telephone_number": "505-630-2005",
"fax_number": "844-689-4499",
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{
"address_1": "525 N Tryon St Ste 1600",
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"city": "Charlotte",
"state": "NC",
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{
"address_1": "1312 17th St Ste 865",
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"city": "Denver",
"state": "CO",
"postal_code": "802021508",
"country_code": "US",
"telephone_number": "720-780-7977",
"fax_number": "844-689-4491",
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{
"address_1": "1106 W Ash St Ste 1011",
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{
"address_1": "2215 N 23rd St Ste 1028",
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"city": "McAllen",
"state": "TX",
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"telephone_number": "361-792-3301",
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{
"address_1": "1 Chestnut Hill Plz Ste 130",
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"city": "Newark",
"state": "DE",
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"telephone_number": "302-366-4886",
"fax_number": "844-689-4492",
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{
"address_1": "6417 Penn Ave S Ste 7-397",
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"city": "Minneapolis",
"state": "MN",
"postal_code": "554231186",
"country_code": "US",
"telephone_number": "952-900-8661",
"fax_number": "833-973-5949",
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{
"address_1": "731 SE Alices Rd Ste 2031",
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"city": "Waukee",
"state": "IA",
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"country_code": "US",
"telephone_number": "731-203-1502",
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{
"address_1": "1 Westbrook Corporate Ctr Ste 300",
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"city": "Westchester",
"state": "IL",
"postal_code": "601545709",
"country_code": "US",
"telephone_number": "872-282-9262",
"fax_number": "844-689-4495",
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{
"address_1": "801 E Douglas Ave Fl 2",
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{
"address_1": "312 S 4th St Ste 700",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402023046",
"country_code": "US",
"telephone_number": "786-744-5152",
"country_name": "United States",
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},
{
"address_1": "650 Poydras St Ste 1400",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701306116",
"country_code": "US",
"telephone_number": "786-744-5152",
"country_name": "United States",
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},
{
"address_1": "128 State St",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "ME",
"postal_code": "043305630",
"country_code": "US",
"telephone_number": "786-744-5152",
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},
{
"address_1": "16701 Melford Blvd Ste 400",
"address_purpose": "LOCATION",
"city": "Bowie",
"state": "MD",
"postal_code": "207154411",
"country_code": "US",
"telephone_number": "786-744-5152",
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},
{
"address_1": "30 N Gould St Ste 37558",
"address_purpose": "LOCATION",
"city": "Sheridan",
"state": "WY",
"postal_code": "828016317",
"country_code": "US",
"telephone_number": "307-316-1115",
"fax_number": "844-689-4506",
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},
{
"address_1": "2100 Southbridge Pkwy Ste 650",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352091317",
"country_code": "US",
"telephone_number": "786-744-5152",
"country_name": "United States",
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},
{
"address_1": "9360 Glacier Hwy Ste 202",
"address_purpose": "LOCATION",
"city": "Juneau",
"state": "AK",
"postal_code": "998017012",
"country_code": "US",
"telephone_number": "786-744-5152",
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{
"address_1": "400 W Capitol Ave",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722013436",
"country_code": "US",
"telephone_number": "786-744-5152",
"country_name": "United States",
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},
{
"address_1": "1000 Highland Colony Pkwy Ste 5203",
"address_purpose": "LOCATION",
"city": "Ridgeland",
"state": "MS",
"postal_code": "391572079",
"country_code": "US",
"telephone_number": "786-744-5152",
"country_name": "United States",
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},
{
"address_1": "2196 3rd Ave Ste 2029",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100350780",
"country_code": "US",
"telephone_number": "332-895-3777",
"fax_number": "844-689-4501",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "248 Providence Hwy Ste 3042",
"address_purpose": "LOCATION",
"city": "Westwood",
"state": "MA",
"postal_code": "020901908",
"country_code": "US",
"telephone_number": "339-933-7553",
"fax_number": "339-933-7553",
"country_name": "United States",
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},
{
"address_1": "1440 W Taylor St Ste 775",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606074623",
"country_code": "US",
"telephone_number": "872-282-9262",
"fax_number": "844-689-4495",
"country_name": "United States",
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},
{
"address_1": "300 Lenora St Ste 6464",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981212411",
"country_code": "US",
"telephone_number": "425-740-7626",
"fax_number": "844-689-4505",
"country_name": "United States",
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},
{
"address_1": "512 W Goldfield Ave Ste 1046",
"address_purpose": "LOCATION",
"city": "Yerington",
"state": "NV",
"postal_code": "894473317",
"country_code": "US",
"telephone_number": "725-302-0103",
"fax_number": "844-689-4488",
"country_name": "United States",
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},
{
"address_1": "6700 E Speedway Blvd Ste 1014",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857101220",
"country_code": "US",
"telephone_number": "520-244-1442",
"fax_number": "844-689-4489",
"country_name": "United States",
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},
{
"address_1": "121 S La Brea Ave Suite 1027",
"address_purpose": "LOCATION",
"city": "Inglewood",
"state": "CA",
"postal_code": "90301",
"country_code": "US",
"telephone_number": "424-433-3351",
"fax_number": "844-689-4490",
"country_name": "United States",
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},
{
"address_1": "18 Campus Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Newtown Square",
"state": "PA",
"postal_code": "190733240",
"country_code": "US",
"telephone_number": "786-744-5152",
"country_name": "United States",
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}
],
"basic": {
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"first_name": "JEZWAH",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "FNP-BC, MEP-C, NE-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-30",
"last_updated": "2026-09-03",
"certification_date": "2026-09-02",
"status": "A"
},
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"identifiers": [
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"identifier": "9000260404",
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},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FLORIDA BLUE",
"identifier": "ZJTEQ",
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{
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},
{
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"identifier": "30005379330001",
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}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.